Organization Active NPI

Hillside Health Care R.N., P.C.

  • Home Health Registered Nurse
  • Fishkill, NY
National Provider Identifier
1225190150
Registry record updated Aug 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health Registered NurseTaxonomy code 163WH0200X
License
443900-1 Issued in NY
Legal business name
HILLSIDE HEALTH CARE R.N., P.C.
Practice address
260 Osborne Hill Rd
Fishkill, NY 12524-2519
Phone
(845) 440-3940
NPI assigned
Dec 15, 2006
Last updated
Aug 19, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Brenda Joyce Ardrey, R.N.NPI 1821150731
Title
President
Phone
(845) 440-3940

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH0200X 443900-1 NY Primary

Addresses

Primary practice location

260 Osborne Hill Rd
Fishkill, NY 12524-2519

Mailing address

260 Osborne Hill Rd
Fishkill, NY 12524-2519
Phone (845) 440-3940

Other identifiers 1

IdentifierTypeStateIssuer
01457478OtherNYMEDICAID PROVIDER ID

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1219104000000",
    "number": "1225190150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 OSBORNE HILL RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242519",
            "telephone_number": "845-440-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 OSBORNE HILL RD",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125242519",
            "telephone_number": "845-440-3940"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILLSIDE HEALTH CARE R.N., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-15",
        "last_updated": "2008-08-19",
        "status": "A",
        "authorized_official_last_name": "ARDREY",
        "authorized_official_first_name": "BRENDA",
        "authorized_official_middle_name": "JOYCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-440-3940",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": "443900-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID PROVIDER ID",
            "identifier": "01457478",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.